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Review
. 2021 Dec 27;26(8):493-497.
doi: 10.1093/pch/pxab083. eCollection 2021 Dec.

The evaluation and management of neonatal brachial plexus palsy

Affiliations
Review

The evaluation and management of neonatal brachial plexus palsy

Vibhuti Shah et al. Paediatr Child Health. .

Abstract

Neonatal brachial plexus palsy presents at birth and can be a debilitating condition with long-term consequences. Presentation at birth depends on the extent of nerve injury, and can vary from transient weakness to global paresis, with active range of motion affected. Serial clinical examination after birth and during the neonatal period (first month of life) is crucial to assess recovery and predicts long-term outcomes. This position statement guides the evaluation of neonates for risk factors at birth, early referral to a multidisciplinary specialized team, and ongoing communication between community providers and specialists to optimize childhood outcomes.

Keywords: Brachial plexus palsy; Infant; Neonatal management; Neonatal risk; Newborn.

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References

    1. Abid A. Brachial plexus birth palsy: Management during the first year of life. Orthop Traumatol Surg Res 2016;102(1 Suppl):S125–32. - PubMed
    1. Foad SL, Mehlman CT, Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg Am 2008;90(6):1258–64. - PubMed
    1. Waters PM. Update on management of pediatric brachial plexus palsy. J Pediatr Orthop 2005;25(1):116–26. - PubMed
    1. Hoeksma AF, ter Steeg AM, Nelissen RG, van Ouwerkerk WJ, Lankhorst GJ, de Jong BA. Neurological recovery in obstetric brachial plexus injuries: An historical cohort study. Dev Med Child Neurol 2004;46(2):76–83. - PubMed
    1. Sibbel SE, Bauer AS, James MA. Late reconstruction of brachial plexus birth palsy. J Pediatr Orthop 2014;34 Suppl 1:S57–62. - PubMed